Rathnayake Ayeshmanthe, Chang Olivia, Mejia Rosauro
Department of Cardiothoracic Surgery, John Hunter Hospital, New Lambton Height, New South Wales, Australia.
J Surg Case Rep. 2022 Dec 30;2022(12):rjac607. doi: 10.1093/jscr/rjac607. eCollection 2022 Dec.
Acute Type-A Aortic Dissection is a rare but life-threatening surgical emergency in children and adolescents. Large series report up to 3.5% of cases under the age of 21 with many of these cases with known predisposing risk factors. Risk factors include congenital cardiovascular disorders, connective tissue disorders, hypertension, inflammatory aortic weakening and iatrogenic, pregnancy or trauma. Cases with no obvious predisposing risk factors are exceedingly rare with very few cases described in a limited number of studies.
急性A型主动脉夹层在儿童和青少年中是一种罕见但危及生命的外科急症。大量病例报告显示，21岁以下的病例中高达3.5%患有此病，其中许多病例具有已知的易感风险因素。风险因素包括先天性心血管疾病、结缔组织疾病、高血压、炎症性主动脉薄弱以及医源性、妊娠或创伤。没有明显易感风险因素的病例极为罕见，在少数研究中仅有极少病例被描述。
